PRUDENCIA ESAMAKA BANENI EPSE DIVINE
NPI 1336854330
Technician - Attendant Care Provider in Washington, DC

Active since January 16, 2023
1150 12TH ST NW, WASHINGTON, DC 20005(202) 813-3421 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prudencia Esamaka Baneni Epse Divine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUDENCIA ESAMAKA BANENI EPSE DIVINE (NPI 1336854330) is an individual attendant care provider provider in Washington, District Of Columbia and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1336854330
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NamePRUDENCIA ESAMAKA BANENI EPSE DIVINE
Location Address1150 12TH ST NWWashington, DC 20005-4602
Mailing Address6606 Rycroft AveNew Carrollton, MD 20784-3652 · (240) 886-5599
Sole ProprietorNo
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 14, 2023
NPI 1336854330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1150 12TH ST NW, Washington, DC 20005

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician (Personal Care Attendant)
1150 12TH ST NW
WASHINGTON, DC 20005
Technician (Personal Care Attendant)
1150 12TH ST NW
WASHINGTON, DC 20005
Nurse's Aide
1150 12TH ST NW
WASHINGTON, DC 20005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudencia Esamaka Baneni Epse Divine's NPI number?

The NPI number for Prudencia Esamaka Baneni Epse Divine is 1336854330. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Prudencia Esamaka Baneni Epse Divine located?

Prudencia Esamaka Baneni Epse Divine practices at 1150 12th St NW, Washington, DC 20005. The listed phone number is (202) 813-3421.

What is Prudencia Esamaka Baneni Epse Divine's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Prudencia Esamaka Baneni Epse Divine was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.